This topic is about dealing with persistent stinging and skin irritation beneath an ileostomy, which is still troubling someone ten weeks after their surgery. They have tried several methods to alleviate the discomfort, but the issue persists, affecting their daily life and mood. Here are some helpful suggestions and insights shared by others who have faced similar challenges:

1. **Check for Leaks**
- Burning sensations often indicate that output is reaching the skin. Leaks might occur if the wafer hole is too large or if the wafer doesn't contact the skin evenly.

2. **Cut the Wafer Snugly**
- Ensure the wafer fits closely around the stoma, especially at the bottom edge, to prevent any gaps that could allow output to reach the skin.

3. **Use a Barrier Ring or Seal Washer**
- Consider using brands like Convatec, Coloplast Brava, or Perfect Choice. Some people apply the ring directly to the skin, while others warm it and attach it to the wafer first for a tighter seal.

4. **Consider Convexity**
- If the stoma is flush, retracted, or points downward, using convex wafers with a barrier ring can help stop leaks. Products like Coloplast Sensura Mio, Convatec, and Hollister convex wafers are recommended.

5. **Keep Skin Dry**
- Ensure the skin is completely dry before applying the pouch. Using a hair-dryer on a low, warm setting can help prevent moisture-related soreness.

6. **Limit Appliance Changes**
- Frequent changes can traumatize the skin. Aim for a wear time of 3–5 days once leaks are under control.

7. **Try the "Crusting" Method**
- If the adhesive still sticks, alternate light dustings of stoma powder and barrier spray, allowing each layer to dry fully. If the powder irritates, discontinue its use.

8. **Explore Alternative Soothing Products**
- Some have found relief using a thin layer of Vicks VapoRub, egg whites, silver gel, or hydrocolloidal dressings. These can protect and soothe the skin.

9. **Consider Different Appliance Brands**
- Switching to brands like Coloplast Sensura with a Perfect Choice barrier ring or using Safe n’ Simple wipes for gentle cleansing has helped some users.

10. **Application Techniques**
- Warm the wafer or ring in your hands before applying, and press around the stoma for a few minutes to ensure a good seal. Choose the method that best prevents leaks.

11. **Positional and Lifestyle Adjustments**
- Sleeping on your side can prevent output from pooling at the wafer edge. Eating starchy foods can help thicken the output and protect the skin.

12. **Seek Medical Help When Needed**
- Persistent redness might indicate an infection, which could require antibiotics. If pain is related to surgical stitches, consult your surgeon about their removal.

13. **General Encouragement**
- Many people have faced similar struggles early on. Finding the right fit, keeping the skin dry, and using a barrier ring have been key solutions for many.